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Jeff: You got 24,000 votes when you ran for Presidency in 2002. Do you think that was your biggest political blander at the time?
James Orengo: No, it was not. In fact, I didnโt really campaign around the country. What we did was to advocate some issues that we thought were important
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Mozambique once refused to pay its debts and yet it still exists today. Why? Because debt acquired without the consent of the people, for purposes that do not serve the people, is odious. It is not a national obligation but a private liability of those who contracted it.
Kenya today sits on trillions in questionable debt, which is more than half of our budget. These loans were never meant to build schools, hospitals, or industries. They were meant to enrich a few individuals. That makes them illegitimate, and illegitimate debts are not binding on the people.
Ecuador (2008) declared parts of its debt illegitimate after a citizen-led audit, saving the country billions and forcing creditors to take losses.
Iraq (2003) had Saddam Husseinโs debts written off as odious, because they were used to finance repression and war, not development.
South Africa (post-apartheid) refused to pay all of the apartheid-era debt, arguing it was incurred to sustain racial oppression.
Argentina (2001) defaulted on $100 billion, the largest sovereign default in history, and still restructured its economy and markets.
Economically, continuing to service odious debt is irrational. It crowds out development, diversifies scarce tax revenue into foreign accounts, and condemns future generations to slavery for loans they never consented to. As economists say: You cannot squeeze growth out of a society by taxing it to death for the sins of its rulers.
"Kuna number tunangoja ifike pale kwa Linda https://t.co/ZNRotkv9VV alafu tutangaze mambo Fulani" eeeeeiiih ni kama mambo inaenda kuwa Noma zaiiidiiii yarabiii๐๐๐๐
DEFEND THE CLINICAL OFFICER PROFESSION : STOP THE POLICY OVERREACH
The Kenya Union of Clinical Officers @kUCOofficial notes with deep concern the report of the Technical Working Group reportedly led by Prof. Gilbert Kokwaro, which proposes the scrapping off, of the BSc Clinical Medicine training pathway. This recommendation appears to fall outside the stated Terms of Reference of the TWG and has not been supported by any publicly available scientific evidence, sector-wide consultation, or professional consensus.
We further recall that similar remarks were previously made by the DG for Health, Dr. Patrick Amoth @DrPatrickAmoth , during a televised interview on @citizentvkenya on 2 April 2024, remarks that were later clarified and apologised for by him. It is therefore deeply troubling to see the same narrative re-emerge through a policy recommendation that threatens the future of a long standing professional training pathway.
A QUESTION OF PROCESS, EVIDENCE, AND LAW
Any attempt to abolish or alter a recognised professional training programme must comply with the Constitution, applicable statutes governing professional regulations, and principles of administrative fairness. Public policy affecting healthcare training cannot be driven by personal opinion, inter-cadre rivalry, or opaque processes. It must be evidence-based, consultative, and legally sound.
The clinical officer profession has served this country faithfully since 1928 and remains a cornerstone of healthcare ecosystem. Therefore, any policy action that undermines this role without objective justification raises serious governance and legal concerns.
OUR APPEAL TO THE MINISTRY OF HEALTH
We respectfully but firmly call upon the leadership of the @MOH_Kenya, led by Hon. CS. Aden Bare Duale @HonAdenDuale, Ps @psmuthoni@fnoluga to exercise sound judgment and institutional leadership, by:
1. Withdraw, immediately and unconditionally any proposal recommending the discontinuation or mutilation of BSc Clinical medicine training.
2. Prevent personal opinions from being converted into Ministry policy, particularly where such positions threaten the long-standing professional coexistence within Kenyaโs health workforce.
3. Ensure that any reforms affecting health training or professional practice are undertaken through transparent consultation, scientific evidence, and lawful policy processes.
History will judge harshly any leadership that allows professional divisions or unsupported recommendations to erode a profession that has served the nation for nearly a century.
MESSAGE TO ALL CLINICAL OFFICERS : STAND FIRM
Clinical Officers across the country must remain vigilant, united, and ready to defend the integrity of the profession. Our contribution to Kenyaโs healthcare system cannot be erased by administrative opinion or temporary policy pressure.
We call upon all Clinical Officers to stand together in protecting:
Our profession
Our training institutions
Our rightful role in healthcare Service delivery
The future of the next generation of Clinical Officers
Note:
Multi professional coexistence in the health sector must be protected, not undermined.
If necessary, the Union will not hesitate to pursue all lawful avenues including institutional engagement, public advocacy, and legal remedies, to ensure that justice, fairness, and professional integrity prevail.
Our vow
The profession will not be intimidated.
The profession will not be erased.
The profession will stand.
@_KithureKindiki@KenyasOmbudsman@KCOA_Official@Senate_KE
General Secretary & CEO
Kenya Union of Clinical Officers